Diabetic Patients With Urinary Tract Infection With Simple Urinary Tract Infection Syndromes In Comparative Studies

Diabetic urinary tract infection is a common type of diabetic infections. TCM has advantage on treating this kind of disease, but Chinese herbal medicine has not been used according to unified standardization of syndrome differentiation. In addition, research on differentiation of symptom-complexes according to syndrome types has not been carried out between this disease and non-diabetic urinary tract infection one. The purpose of this paper is to resolve the above problems. Studying differential syndrome distribution between diabetic and non-diabetic group, this paper probes into the syndrome feature and susceptibility factors of diabetic urinary tract infection disease. Furthermore, it, studying on differentiation of symptom-complexes between acute and chronic urinary tract infection disease in these two groups, makes a guide to analysis of syndrome types and relative TCM treatment methods. Finally, some biochemical indexes are adopted to expand the vision of Four Diagnostic Methods.According to clinical standard for diagnosis, 132 urinary tract infection patients were enrolled and divided into diabetic and non-diabetic group. the following were recorded: symptoms, signs, stages, and relative biochemical indexes. Statistical analysis showed that:â‘ infections without symptom such as frequent urination, urgent urination, painful urination, dribbling of urine, and low backache were often seen in diabetic group. In addition, the following syndromes such as blood stasis, qi deficiency and yin deficiency were seen more markedly frequently in no symptomatic infections than in symptomatic infections.â‘¡comparison of two groups showed that the diabetic group were more likely to have the following syndromes: yin deficiency, phlegm-dampness, qi deficiency, qi stagnation and blood stasis.â‘¢the following syndromes such as damp-heat, depressed heat, heart fire flaming downward and heat obstructing intestine tract were all seen in both groups, and furthermore these syndromes were more serious in the diabetic group than in the other. In addition, these pathogenic factors all including heat evil especially damp-heat evil added significantly to the risk of infections in both groups especially in diabetic group.â‘£the scores of damp-heat syndrome was correlated with the amount of leukocyte count; the scores of yin deficiency or heat obstructing intestine tract syndrome were the same correlated with blood glucose levels. That is to say, symptoms in damp-heat syndrome type were aggravated with increase of the amount of leukocyte count; so did symptoms in the two syndromes aggravate with increase of blood glucose level.In all, difference exists the following aspects between the two groups: the feature of symptoms, syndromes distribution, and the sereve degree of syndrome. Qi deficiency and yin deficiency are the primary pathogenic basis of diabetic urinary tract infection. Phlegm-dampness, qi stagnation and blood stasis are important correlated pathogenic factors of this disease. On treating this disease, diabetes mellitus should be paid enough attention as basic disease. These principles of treatment such as supplementing qi, nourishing yin, regulating qi, removing blood stasis, eliminating phlegm-dampness are applied respectively according to distinct syndromes. In addition, because of heat evil closely being related with urinary tract infection, the treatment method of removing heat should not be ignored. Finally, biochemical indexes should be adopted to deepen and supplement traditional differentiation methods in TCM,and the futher research shoud be undertaken ,such as: the relationship of syndromes and etiological.